Jacob Allaire Brems, MD | |
19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176-8470 | |
(703) 724-1195 | |
(703) 724-4495 |
Full Name | Jacob Allaire Brems |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 8 Years |
Location | 19415 Deerfield Avenue, Suite 112, Leesburg, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215381462 | NPI | - | NPPES |
1215381462 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2021-01541 (North Carolina) | Secondary |
208800000X | Urology | DR.0073569 (Colorado) | Secondary |
208800000X | Urology | 0101274796 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Loudoun Hospital | Leesburg, VA | Hospital |
Reston Hospital Center | Reston, VA | Hospital |
Stonesprings Hospital Center | Dulles, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loudoun Medical Group, Pc | 0042119661 | 288 |
Loudoun Medical Group, Pc | 0042119661 | 288 |
Entity Name | Loudoun Medical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407908817 PECOS PAC ID: 0042119661 Enrollment ID: O20040102000616 |
Mailing Address | Practice Location Address |
---|---|
Jacob Allaire Brems, MD 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Jacob Allaire Brems, MD 19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176-8470 Ph: (703) 724-1195 |
Dr. Kyle Matthew Lester, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176 Phone: 703-724-1195 | |
Christine Ngoc Bich Tran, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176 Phone: 703-724-1195 Fax: 703-724-4495 | |
Chuck G Pruna, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176 Phone: 703-724-1195 Fax: 703-724-4495 | |
Gregory S Schenk, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176 Phone: 703-724-1195 Fax: 703-724-4495 | |
Kevin Paul O'connor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Ave Ste 112, Leesburg, VA 20176 Phone: 703-724-1195 Fax: 703-724-4495 | |
Dr. Walter M O'brien, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Avenue, Suite 112, Leesburg, VA 20176 Phone: 703-724-1195 Fax: 703-724-4495 |